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More information about the Devereux Organization

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Specialty Foster Care Referral Information
DGTN Therapeutic Foster ParentsIn order to process the referral of your client for possible admission into The Devereux Georgia Specialty Foster Care Program, we will require the following documents in order to comply with all state and federal licensing standards and regulations.
Required Documents for Admission
Application for Admission (pdf)   Current CAFAS
Birth Certificate   Social History (to present)
Social Security Card   Custody Orders (if appropriate)
Medicaid Card   Court Orders/Offense Records
Immunization Card   Statement of Appropriateness
Physical Exam (within past 12 months)   Applicable Medical Records
MATCH Profile Instrument   Withdrawal form from last school attended
Psychological Evaluation (within 1 year)   School transcripts (last school attended)
Dental Exam (within 6 months)   School disciplinary records
DFCS Case Panel Review   Ear, eye and dental records
Psychiatric Evaluation   Funding Letter
Current IEP      
School Records (current and past)     Download this checklist!
NOTE: These documents, including the completed Application for Admission, are crucial to the matching process in selecting an appropriate Therapeutic Home for your client; thus, no pre-placement activity or admission procedures may begin until this information has been received.
Thank you for your cooperation. We look forward to working with both you and your client, and are confident you will find working with Devereux a professional and enjoyable experience.




 
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Devereux Georgia Treatment Network
1291 Stanley Road, Kennesaw, GA 30152